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CONSENT TO THE USE AND DISCLOSURE OF HEALTH …

CONSENT TO THE USE AND DISCLOSURE OF HEALTH

acupuncturecenterofchico.com

CONSENT TO THE USE AND DISCLOSURE OF HEALTH INFORMATION FOR TREATMENT, PAYMENT, OR HEALTHCARE OPERATIONS NAME _____ BIRTHDATE _____ I understand that as a part of my healthcare, or my legal dependent’s healthcare, this

  Health, Information, Operations, Treatment, Payments, Healthcare, Health information for treatment, Or healthcare operations

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